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HCBS Waivers

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Approved HCBS Waivers


Seeking Public Input on the Proposed Amendments to the IDD Waiver, APDD Waiver, CCMC Waiver, and ISW Waiver

The Division of Senior and Disabilities Services (SDS) is requesting comment from recipients, waiver service providers, and other stakeholders on the proposed waiver amendments to four of Alaska’s 1915(c) home and community-based services waivers. 

The amended waivers are:
  1. People with Intellectual and Developmental Disabilities (IDD)
  2. Adults with Physical and Developmental Disabilities (APDD)
  3. Children with Complex Medical Conditions (CCMC)
  4. Individualized Supports Waiver (ISW)
The proposed changes:
  • IDD, APDD, and CCMC: The modification of the Residential Habilitation service to include Specialized Family Habilitation Homes, and Specialized Group Habilitation Homes which will service highly acute participants with complex needs; and
  • IDD, APDD, CCMC and ISW: The allowance of Legally Responsible Individuals (LRIs) to provide In-Home Supports services and Supported Living services under specific circumstances.

The proposed waiver amendments can be viewed below.  

SDS will accept public comment on the proposed waiver amendments until 5:00 pm, Monday, October 9, 2023.  Please send written comments to Jordyn Grant, SDS, 1835 Bragaw Street, Suite 350, Anchorage, AK 99508, or  If you need accommodation to review the proposed waiver amendments, please contact Jordyn Grant at
Once the comments have been reviewed and necessary changes incorporated into the proposed waivers, the waivers will be submitted to the Centers for Medicare and Medicaid Services (CMS) for approval.

Webinar Information:

SDS will hold two webinars to explain the waiver amendments.
  1. The webinar to explain the modifications to the Residential Habilitation service will be on Wednesday, September 20th, from 12:00 to 1:30pm.
  2. The webinar to explain the allowance of Legally Responsible Individuals (LRIs) to provide specific waiver services will be on Thursday, September 21st from 12:00 to 1:30pm. 
After registering, you will receive a confirmation email containing information about how to join the webinar.


Draft Waiver Amendments